| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | 740 REGENT STREET - #400 MADISON, WI 53715 | BLUE CROSS & BLUE SHIELD OF WISCONSIN | $65K | — | $65K | 4.56% |
| INGENIUMPRIME INC3 Filed as: INGENIUMPRIME INC. | PO BOX 259408 MADISON, WI 53725 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 5.92% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INC. INC | 700 REGENT STREET MADISON, WI 53715 | STANDARD INSURANCE COMPANY | $404 | — | $404 | 0.79% |
| INGENIUMPRIME INC3 Filed as: INGENIUMPRIME INC. | PO BOX 259408 MADISON, WI 53725 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 9.26% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INS. INC | 700 REGENT STREET MADISON, WI 53715 | STANDARD INSURANCE COMPANY | $357 | — | $357 | 0.76% |
| INGENIUMPRIME INC3 Filed as: INGENIUMPRIME INC. | PO BOX 259408 MADISON, WI 53725 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 7.30% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INS. INC. | 700 REGENT STREET MADISON, WI 53715 | STANDARD INSURANCE COMPANY | $203 | — | $203 | 0.67% |
| INGENIUMPRIME INC3 Filed as: INGENIUMPRIME INC. | PO BOX 259408 MADISON, WI 53725 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 21.34% |
| HAUSMANN-JOHNSON INSURANCE INC3 Filed as: HAUSMANN JOHNSON INSURANCE INC. | 700 REGENT STREET MADISON, WI 53715 | STANDARD INSURANCE COMPANY | $167 | — | $167 | 0.77% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L MIDWEST LTD, BANYAN CNSLT | 333 N. GREENE STREET GREENSBORO, NC 27401 | STANDARD INSURANCE COMPANY | -$8 | — | -$8 | -0.04% |
| HAUSMANN GROUP INC3 Filed as: HAUSMANN GROUP | PO BOX 259408 MADISON, WI 53715 | WYSSTA INSURANCE COMPANY INC. | $2K | — | $2K | 8.15% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 185 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 192 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS & BLUE SHIELD OF WISCONSIN | 301 | $1.4M |
| Vision | WYSSTA INSURANCE COMPANY INC. | 158 | $20K |
| Life insurance | STANDARD INSURANCE COMPANY | 140 | $30K |
| Short-term disability | STANDARD INSURANCE COMPANY | 94 | $51K |
| Long-term disability | STANDARD INSURANCE COMPANY | 107 | $47K |
| Other(2 contracts) | STANDARD INSURANCE COMPANY | 140 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 301 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.